# BRENHAM CLINIC ASSN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932115318
- **Authorized official:** GRACIE SLATTERY (ADMINISTRATOR)
- **Authorized official phone:** (979) 836-6153

## Contact information

- **Practice address:** 600 NORTH PARK ST, BRENHAM, TX 77833-2610
- **Practice address phone:** (979) 836-6153
- **Mailing address:** 600 NORTH PARK ST, BRENHAM, TX 77833-2610
- **Mailing address phone:** (979) 836-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0457000001 | TX | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/13/2007